| NPI | 1225499494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DALE FLORO Owner 910-483-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1212) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1493) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1631) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1657) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2021-10-14 |