| NPI | 1376366153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEVONNA GRAVES WORNEY Owner 336-829-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2025-09-21 |