| NPI | 1275843179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA BUTLER President 252-633-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |