| NPI | 1407339435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELITA EDWARDS Owner 252-287-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-20 |