| NPI | 1952813503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRULY N. POLLARD Executive Director 251-414-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3669) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2021-08-03 |