| NPI | 1285242990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY HAYWOOD Owner 910-501-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |