| NPI | 1457550063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MATKINS Chief Operating Officer 336-725-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 2165) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-08-22 |