| NPI | 1033142583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R MILLER Bookkeeper 252-635-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2010-06-25 |