| NPI | 1427470301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNTEL M SUMMERS Owner 910-916-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7412) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |