NPI | 1558517995 |
---|---|
Entity Type | Organization |
Authorized Contact | TED FITZGERALD Executive Director 910-891-7062 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC MHL-019-047) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |