| NPI | 1154826220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JARMAN GIBBS Owner 252-402-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9001) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-03-19 |