| NPI | 1477273639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMERA D MCQUEEN-SMITH Owner 336-602-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |