| NPI | 1831959725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONDRA BOYD Clinical Director 910-818-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |