| NPI | 1508695586 |
|---|---|
| Doing Business As | CLINICAL CARE THERAPY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LAVONCIA R PETERSON CEO/Clinician 910-358-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |