| NPI | 1164021259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYVETTE ABBOTT CEO/ Counselor 336-473-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |