| NPI | 1801023585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL SEBASTIAN BOST Executive Director 336-674-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 251S00000X |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-09-02 |