| NPI | 1437528924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRINA WINFORD Director/Owner 336-287-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |