| NPI | 1912619818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKARA WHICHARD CEO 252-565-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-30 |