| NPI | 1023881240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILKIAM WILSON CEO/Therapist 252-312-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |