| NPI | 1104783612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TYRE Director 252-481-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-08 |