| NPI | 1568016111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE EBOMAH Owner, Director 980-643-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X | |
| 405300000X Prevention Professional | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |