| NPI | 1730646019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEVYLLA LANDING Owner 910-299-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |