| NPI | 1871008672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN JOHNSON Owner/Provider 336-283-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2026-06-15 |