| NPI | 1255366803 |
|---|---|
| Doing Business As | PHOBIA TREATMENT CENTER OF THE TRIAD INC KENNETH A FRAZIER |
| Entity Type | Organization |
| Authorized Contact | KENNETH A FRAZIER President 336-292-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC LPC341) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |