NPI | 1326289943 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVIN WILSON CEO 910-678-2088 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: NC 34418) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 34418) |
Enumeration Date | 2009-03-11 |
Last Update Date | 2009-03-11 |