| NPI | 1326798935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WHITE Owner 910-812-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2023-01-25 |