| NPI | 1669255626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI JEAN PRUITT Mental Health Counselor 910-540-9573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |