| NPI | 1689120719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA KAY TENTHOFF Operations Manager 910-233-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S8202) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |