| NPI | 1790097525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSSEF LATEEF GILKEY CEO 336-575-2002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |