| NPI | 1073902458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE LYNN NUTT Owner 828-577-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004355) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |