| NPI | 1720115512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANSFORD AUTHURBURY NEIL Owner 336-774-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: NC 4865) | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-09-15 |