| NPI | 1164921524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DORNELL NEAL Owner/Community Counselor 980-355-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9301) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 930) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-2834) | |
| 101YM0800X Counselor Mental Health (Licence: NC 9301) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |