| NPI | 1346815891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH RIDDELL Owner, Counselor 252-220-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |