| NPI | 1124754122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA NICHOLS-ARMSTRONG Program D Irector 336-414-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |