| NPI | 1740649003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE SIMMONDS Owner 910-599-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4111) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1979) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |