| NPI | 1396689816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLISHIA ROSS Educational Specialist 910-401-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101200000X Drama Therapist |
| 101YS0200X Counselor, School | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 104100000X Social Worker | |
| 172A00000X Driver | |
| 251E00000X Home Health | |
| 364SS0200X Clinical Nurse Specialist, School | |
| 376J00000X Homemaker | |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |