| NPI | 1275690042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DOYLE Qm Manager 910-222-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-05-22 |