| NPI | 1255768099 |
|---|---|
| Former Legal Business Name | SBS |
| Entity Type | Organization |
| Authorized Contact | MILDRED SHAW JOHNSON CEO 919-951-8919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |