| NPI | 1558540039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RAY STEWART President 336-722-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LPC 3746) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 470) |
| 101YP2500X Counselor, Professional (Licence: NC LPC 4239) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2013-09-26 |