| NPI | 1588957724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE ALFRED LEVINE Owner/Provider 910-581-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6981) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2026-01-26 |