| NPI | 1306214895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY CLARK-WILLIAMS Owner/Director 252-287-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |