NPI | 1588957724 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE ALFRED LEVINE Chief Operation Officer 910-650-2227 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6981) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2014-08-07 |