| NPI | 1447741848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN M VILAR Owner 910-210-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2025-06-23 |