| NPI | 1487854253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SURGEON President 910-272-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-10-27 |