| NPI | 1356191845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA GRACE HUBER Owner 910-208-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |