NPI | 1124579867 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELWILBED WRAY Director/Owner 910-295-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7538) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2016-12-20 |