| NPI | 1427565209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON E DALE Managing Member 251-421-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2106) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 1172) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |