| NPI | 1639318652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS YEBOA SIAKWAN Chief Executive Officer 252-268-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2009-02-14 |