| NPI | 1629361456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PITTMAN President 910-488-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 1665) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-09-20 |