| NPI | 1154939718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANNI MARIE STARLING Substance Abuse Counselor 336-355-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |