| NPI | 1326450024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOSTER L WILKINS Substance Abuse Counselor 336-254-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3381-A) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |