| NPI | 1639621360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI CALDWELL CEO 336-327-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7694) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |