| NPI | 1780856203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA L SULLINS President 251-633-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1505) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-04-20 |