| NPI | 1265713606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASPERTINE HAWKINS CEO 252-407-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2014-05-12 |