| NPI | 1528239993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANESE D WILLIAMS Office Manager/Cred Specialist 910-860-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2019-05-24 |