| NPI | 1134698509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA M JOHNSON Clinical Director 910-797-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-10-03 |