| NPI | 1255104873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANEISHA BROWN Chief Operating Office 252-917-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |