| NPI | 1467822841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN BAUTISTA SANTOS Counselor 336-707-1723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A11154) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |