| NPI | 1871069047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENITA ALSTON Therapist 252-908-2537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-11-12 |