| NPI | 1750749255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN KRACZKOWSKI Counselor, Lpc 334-470-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7862) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |