| NPI | 1306590328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EDGE CEO/Owner 910-212-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-12-04 |