| NPI | 1134320427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS ANN MOORE-RUSSELL Partner 910-429-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C004369) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |