| NPI | 1356715601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DIANNE WALKER Executive Director 336-346-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X |
| 251V00000X Voluntary or Charitable | |
| 251X00000X | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |