| NPI | 1831040914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIYON LAVON SIMMONS Mental Health Counselor 252-382-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-02-05 |
| Last Update Date | 2026-02-05 |