| NPI | 1497110944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA MCDONALD CEO 910-833-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 2848) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2848) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |