| NPI | 1790178044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JEANETTE QUICK CEO 910-610-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2728-A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2728-A) |
| 101YM0800X Counselor, Mental Health (Licence: NC 2728-A) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-06-03 |