| NPI | 1750092680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENA R PLUMMER Owner 336-312-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |