| NPI | 1477006021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LYNN BROWN-JOHNSON Director, Owner 910-234-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A11182) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 20495) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2019-07-02 |