| NPI | 1306129994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENETHIA FENNER SHAW CEO/Counselor 910-227-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2020-06-12 |