NPI | 1164302816 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA LYNN BROWN Owner 252-314-7586 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2025-09-04 |
Last Update Date | 2025-09-04 |