| NPI | 1962808956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARY BORNARTH Owner 910-741-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2488) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |