| NPI | 1467345181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KLEISCH Owner 336-580-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-07-16 |