| NPI | 1508136433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIANE SCOTT Owner 252-571-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2022-09-01 |