| NPI | 1306203310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MCCORMICK EVANS Owner 910-995-7918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 2865A) |
| 101YP2500X Counselor Professional (Licence: NC 9734) | |
| 171M00000X Case Manager/Care Coordinator | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |