| NPI | 1992997167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE DELLA KENION Director/Qualified Professional 910-763-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2010-05-18 |