| NPI | 1699243626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOZMA H MCLEAN Owner/Therapist 910-610-9151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-02-05 |