| NPI | 1205058229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M BURNS Agency Director 910-522-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 101YM0800X) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-12-27 |