| NPI | 1952771438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE MCGILL Clinical Director/Owner 336-541-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2025-07-14 |