| NPI | 1154819472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SINK PULLIAM Director 336-926-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10435) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3310) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |