| NPI | 1881068500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL BOST Executive Director/Owner 336-674-9781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-01-21 |