| NPI | 1255209920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BRYCE Owner 252-479-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |