| NPI | 1144965559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON LOREN RAPPLEYEA Co Owner/President 252-481-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |