| NPI | 1841784295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATARINA K EPPS Owner 910-554-2528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-03-17 |