| 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 |