| NPI | 1871276998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SANDREA ROACH Owner/Psychotherapist 252-531-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-03-17 |