| NPI | 1194995183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A BURROW Owner 336-495-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2010-06-19 |