| NPI | 1043556608 |
|---|---|
| Doing Business As | LATINO STAND UP |
| Entity Type | Organization |
| Authorized Contact | ROGER HORNE Owner 910-573-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363AM0700X Physician Assistant, Medical | |
| 364S00000X Clinical Nurse Specialist | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 251B00000X Case Management | |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2013-05-23 |