| NPI | 1871845578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAD DAVIS CEO 910-865-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |