| NPI | 1427101559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE GOLDSTON Director 336-629-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 11) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-08-22 |