| NPI | 1831772656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DENEE GREEN-HARRINGTON Owner 910-670-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |