| NPI | 1376423764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BENTON Owner 336-470-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-10-25 |