| NPI | 1679042683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUITA LASHALL COURMAN Program Director/Owner 252-349-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |