| NPI | 1497334718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY MASON Owner 910-987-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2022-08-01 |