| NPI | 1033541180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS S SABOOR Owner/Provider 910-200-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 1697) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |