| NPI | 1619689700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MOSES Owner 910-297-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-01-09 |