| NPI | 1104623354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEEF PHOENIX President 919-482-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |