| NPI | 1649979949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONDRA BOYD Owner 910-818-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |