| NPI | 1922553692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA M BETHEA CEO/Owner 910-853-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |