| NPI | 1669700316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA M SLOANE Owner/Counselor 336-455-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2023-11-28 |