| NPI | 1861830762 |
|---|---|
| Doing Business As | ESSENTIAL LIFE CONNECTIONS |
| Entity Type | Organization |
| Authorized Contact | LATRINA D WINFORD Owner 336-896-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9400266) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |