| NPI | 1437463510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SHALLOW Owner/Counselor 252-355-1764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 2219) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1172) |
| 106H00000X Marriage & Family Therapist (Licence: NC 091) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-05 |