| NPI | 1700548724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ADEGBOYEGA Owner/President 336-612-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |