| NPI | 1326162629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M. SMITH President 910-270-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 616) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2467) |
| 1041C0700X Social Worker, Clinical (Licence: NC C003220) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C003979) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |