NPI | 1538439153 |
---|---|
Entity Type | Organization |
Authorized Contact | CLYDE VANCE LOCKLEAR CEO/President 910-336-9002 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3073) |
Enumeration Date | 2012-01-12 |
Last Update Date | 2012-01-12 |