| NPI | 1477065415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARDIE ROCHELLE IZZARD Owner 336-550-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22298) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-03-28 |