| NPI | 1174848733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA NUNEZ Owner 910-483-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c006542) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1437) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-06-28 |