| NPI | 1548615917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICHOL BRISCOE CEO 980-859-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 10549) |
| 101YM0800X Counselor, Mental Health (Licence: NC 10549) | |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: NC 10549) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-03-30 |