| NPI | 1457193955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND ALEXANDRIA WOODS Owner 910-670-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |