| NPI | 1477273639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMERA D MCQUEEN Owner 336-602-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-08-29 |