| NPI | 1518267004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET FERNANDEZ Excutive Director 252-991-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2010-10-30 |