| NPI | 1205195401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DRAKE Director 336-416-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |