| NPI | 1225039803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SHARALYN FISHER Therapist/Owner 910-592-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC PC0024) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |