| NPI | 1023450764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANESE D WILLIAMS Office Manager/Cred Specialist 910-860-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-05-24 |