| NPI | 1194507228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALLISON BARBOUR Director 252-414-0534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |