| NPI | 1508295429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALEXANDER WILSON President/Owner 336-706-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1601) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5251) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2016-05-11 |