| NPI | 1033666888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SANDIFER CEO 336-517-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C007317) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC C007317) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-06-28 |