| NPI | 1932983285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE COKER Owner / Provider 980-254-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |