| NPI | 1952765596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMESHA SPINKS CEO 336-302-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2016-10-19 |