| NPI | 1992758429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS SAUNDERS SMITH Administrator 252-353-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2971) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-03-26 |