| NPI | 1912446253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON LOWE Therapist 336-509-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 20339) |
| 101YM0800X Counselor, Mental Health (Licence: NC 11263) | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 342000000X Transportation Network Company | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-07-28 |