| NPI | 1144510215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE ROUSE Owner 910-618-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-078-166) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2013-06-24 |