| NPI | 1134894850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON A PEREZ Therapist/Owner 910-367-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2023-08-17 |