| NPI | 1538920608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER H HINSON Owner 252-250-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-02-09 |