NPI | 1184503237 |
---|---|
Entity Type | Organization |
Authorized Contact | RONDESHYA KEYONNA COSBY Director 252-263-5787 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
104100000X Social Worker | |
106S00000X Behavior Technician | |
163W00000X Registered Nurse | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
323P00000X Psychiatric Residential Treatment Facility | |
363LF0000X Nurse Practitioner Family | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2025-09-01 |
Last Update Date | 2025-09-02 |