| NPI | 1386223253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MCQUEEN GREEN CEO/Clinician 910-263-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-11-03 |