| NPI | 1255065918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HARGROVE-SCOTT Chief Executive Officer 252-767-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2022-10-11 |