| NPI | 1518317767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MOORE CEO 336-345-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7433) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-07-18 |