| NPI | 1942751763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSIA SPAULDING CEO 910-840-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C009552) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS20725) |
| 251S00000X (Licence: NC C009552) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-11-21 |