| NPI | 1750136941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA A. TREAGER Business Owner/Employee 910-690-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-05-02 |