| NPI | 1679084586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA TALLIE Director Of Operations 910-353-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |