| NPI | 1396488813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE-ANNE CRESPO Co Owner/Executive Director/Psychot 251-268-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |