| NPI | 1538189436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA EMANUEL-BULLARD Owner 910-735-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: NC COO1559) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |