| NPI | 1669996229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN BURNS Owner 336-609-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10452) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3347) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-08-24 |