| NPI | 1528668043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JONES Provider/Office Manager 910-627-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2025-05-15 |