| NPI | 1811352644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY MICHELLE BLAND Owner/CEO 910-489-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9806) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 9806) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 9806) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 9806) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |