| NPI | 1164827408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONTARIO LAMONT CHAPPELL CEO 252-695-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2016-08-02 |