| NPI | 1467856831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GRAHAM CEO 910-409-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |