| NPI | 1790981512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY CINDY LOCKLEAR Administrator 910-521-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5223) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |