| NPI | 1245706696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASYN ANASTASIA GRIFFITH Director 252-631-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |