| NPI | 1326868159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMESA TEEL Owner/Therapist 252-531-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |