| NPI | 1558603324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE FULLER CEO/Lpc 910-916-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 7940) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7940) |
| 101YP2500X Counselor, Professional (Licence: NC 7940) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-01-08 |