| NPI | 1104786201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA R HILLIARD Owner 910-550-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-12-04 |