| NPI | 1295271039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MICHELLE MOORE-HARDISON President 252-799-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3185A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 9919) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: NC C010046) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2022-06-10 |