| NPI | 1386281970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA DIANA WILLIAMSON COLLINS Owner/Clinician 910-417-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-12-19 |