| NPI | 1063644730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DION SMALLWOOD CEO 252-792-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 103TC0700X Psychologist, Clinical (Licence: NC 3822) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1980) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2012-03-19 |