| NPI | 1275107476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS EARL HENDERSON CEO 252-560-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |