NPI | 1205121852 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA LYNN COKER Clinical Director 252-333-4569 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7839) |
Enumeration Date | 2011-06-11 |
Last Update Date | 2011-06-11 |