| NPI | 1578293361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINA RASHID TERRY Owner 252-425-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-15 |