NPI | 1629662333 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER RACHELLE TOLBERT Owner/Founder 336-414-9324 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-02-23 |
Last Update Date | 2021-02-23 |