| NPI | 1245505379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L DRAKE Nc Director 336-416-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |