| NPI | 1003109133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L JAMES CEO 910-308-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8341) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC 8341) |
| 101YP2500X Counselor, Professional (Licence: NC 8341) | |
| 101Y00000X Counselor (Licence: NC 8341) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 8341) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-02-02 |