| NPI | 1700313780 |
|---|---|
| Former Legal Business Name | SAMARIA M COLBERT |
| Entity Type | Organization |
| Authorized Contact | SAMARIA M COLBERT Owner 336-543-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C007049) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC C007049) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-08-06 |