| NPI | 1407222706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA RENEE OGLESBY CEO 336-830-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8040) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8040) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3028-A) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |