| NPI | 1760685945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN N. SCOGGIN President 336-716-7339 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-06-15 |