| NPI | 1548001522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LYNN OVERACRE Mental Health Therapist 910-308-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |