| NPI | 1568758324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HOWARD GLENN Member And Organizer 336-272-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 704) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 650) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2013-02-25 |