| NPI | 1083163430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ROMAN COO 910-628-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2019-01-04 |