| NPI | 1376945816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA BRYANT CEO 252-916-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 11450) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2019-10-09 |