| NPI | 1700856788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VARELA Licensed Professional Counselor 910-223-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 3413) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2019-04-05 |