| NPI | 1518707116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL GIACCONE SMITH Outpatient Therapist 910-273-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |