NPI | 1386824852 |
---|---|
Entity Type | Organization |
Authorized Contact | THAD DAVIS Owner/Director 910-739-1445 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-11-13 |
Last Update Date | 2007-11-13 |