| NPI | 1437320892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANESE D WILLIAMS Office Manager/Cred Specialist 910-860-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2019-05-24 |