| NPI | 1033446646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OVEDIA FORD BURT Executive Director/CEO 336-868-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P004343 & 213199) |
| Additional Taxonomies | 251S00000X (Licence: NC P004343 & 213199) |
| 252Y00000X Early Intervention Provider Agency (Licence: NC P004343 & 213199) | |
| 103K00000X Behavior Analyst (Licence: NC P004343 & 213199) | |
| 101YM0800X Counselor, Mental Health (Licence: NC P004343 & 213199) | |
| 251B00000X Case Management (Licence: NC P004343 & 213199) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-05 |