| NPI | 1851438956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LUTHER BURSTON Director Owner 336-613-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 325) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 170) |
| 1041C0700X Social Worker, Clinical (Licence: NC C001740) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |