NPI | 1134578305 |
---|---|
Entity Type | Organization |
Authorized Contact | BONITA G HUTCHINSON Owner/Clinical Director 980-254-0046 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7953) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2313) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2016-06-08 |