| NPI | 1063893865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L DRAKE Owner 336-306-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |