| NPI | 1730456401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W SWAYNE Owner 336-337-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c004259) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1357) |
| Enumeration Date | 2011-11-24 |
| Last Update Date | 2011-11-24 |