| NPI | 1669289336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LAURA KINDRED Owner 910-574-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-09-29 |