| NPI | 1811527500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBY WARD Owner 252-231-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |