| NPI | 1639570567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATAMERIA DONTA MCNAIR CEO 336-895-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |