| NPI | 1063544765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA M MARIBLE Owner 910-864-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC FY06-07) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-11-03 |