| NPI | 1649316118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN D ARCHER President 251-476-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 531) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 3) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |