| NPI | 1376873083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROSE DIXON Chief Executive Officer 910-990-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2016-10-24 |