| NPI | 1205643525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYN GREGORY SCOTT CEO 336-796-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |