| NPI | 1215323274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETESHA RENEE' GIBSON Christian Therapist/Owner 252-673-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701005691) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-14 |