| NPI | 1720316607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA VANEUS CEO 336-279-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 00000) |
| 101YM0800X Counselor, Mental Health (Licence: NC 00000) | |
| 104100000X Social Worker (Licence: SC 00000) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 00000) | |
| 251B00000X Case Management (Licence: SC 00000) | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2024-06-10 |