| NPI | 1073164208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKETTA C WRIGHT President 336-816-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251F00000X Home Infusion | |
| 251S00000X | |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |