| NPI | 1780869297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLUS (CASE) P. VAN DER KUIJL Financial Officer 910-233-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 251S00000X | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2013-08-16 |