| NPI | 1871522003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHIA DONNELL Regional Director 336-301-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 9700286) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-12-07 |