NPI | 1629233887 |
---|---|
Entity Type | Organization |
Authorized Contact | CHESTER MICHAEL MARTIN Owner And Clinical Director 910-323-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-07-26 |
Last Update Date | 2021-03-24 |