| NPI | 1265888119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HADLEY MANNING Owner 910-231-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006265) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1189) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |