| NPI | 1013484419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL D. SMITH CEO 910-852-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-11-03 |