| NPI | 1740965011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAN ADAMS CEO 252-258-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-11-16 |