| NPI | 1831658285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CHASE SALMONS Managing Member, Owner 336-416-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-10-18 |