| NPI | 1417195785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY N WILLIAMS Medical Director 336-725-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL034236) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |