| NPI | 1124191119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE MEDLIN SHEARIN President / Owner 252-519-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-05-21 |