| NPI | 1093941098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVELLA H NESBIT Executive Director 794-651-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3350) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |