| NPI | 1528091972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA CAROL BOYETTE Co Owner 252-944-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002961) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5036) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-11-14 |