| NPI | 1740369321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CAMPBELL CEO 336-478-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1874) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-04-30 |