NPI | 1780338509 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ANTHONY BURCHETTE Managing Member 336-423-6140 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-10 |