| NPI | 1285324566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA H MILLS Owner 336-791-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |