| NPI | 1285803668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNNE MINOR-SCHORK Clinical Nurse Specialist 252-632-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 100093) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |