| NPI | 1073083283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P. JOHNSON CEO 336-978-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |