| NPI | 1104355247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY WARREN KEECH President/CEO 252-362-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2018-02-11 |