| NPI | 1790446037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NORVILLE Owner 910-367-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2024-11-16 |