| NPI | 1518791318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA STRIBLIN Owner 910-374-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-12-04 |