| NPI | 1619699402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN MONIQUE DEVEREUX Mental Health Counselor / Owner 910-494-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-12-02 |