| NPI | 1104068006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA ASAD BARNETTE Authorized Officer 336-907-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-07-21 |