| NPI | 1023402823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY EVON TAYBRON Professional Counselor/Owner 910-864-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC S2018) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |