| NPI | 1982251104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA HARDING Co Owner 910-273-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2021-06-08 |