| NPI | 1578845582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L VASQUEZ Office Administrator 910-223-7114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |