| NPI | 1780335364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNYE CARROLL CEO, Practioner, 336-880-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |