| NPI | 1285723320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN HESTER Clinical Director 252-439-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 5003) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 757) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-01-06 |