| NPI | 1598625725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARNISHA BURNETTE Executive Director 336-484-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-12-01 |