| NPI | 1285019240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN KENNEDY PATTON Owner 336-663-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1804) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |