NPI | 1376701979 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON WILLIAM STRACK CEO Owner 336-335-0585 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5149) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2008-05-30 |