NPI | 1205348661 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK REGISTER CEO 336-443-6703 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004968) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1723) |
Enumeration Date | 2017-10-25 |
Last Update Date | 2021-12-03 |