| NPI | 1871008672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN JOHNSON President 336-283-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2022-08-03 |