| NPI | 1871008672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN JOHNSON Owner 336-283-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2025-09-11 |