NPI | 1205327533 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH A SALTER Clinical Director 336-609-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10452) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3347) |
101YM0800X Counselor, Mental Health (Licence: NC 10452) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-05-22 |
Last Update Date | 2021-03-29 |