| NPI | 1972025229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANNE HALL Psychotherapist/Co Owner 910-975-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 12168) |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2018-06-16 |