| 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 |