| NPI | 1720834070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID LEE President 910-797-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 101YS0200X Counselor School | |
| 104100000X Social Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |