| NPI | 1609912567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI WILEY Owner And CEO 910-219-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4793) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 3280) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-16 |