| NPI | 1013362284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAREKA NACOLE KING Mental Health Therapist 910-584-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC P010024) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |