| NPI | 1982818399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESHIA ROGERS DEESE Owner 910-536-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005175) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-21969) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-07-09 |