| NPI | 1477607786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FLEURY Medical Director 910-295-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-08-31 |