| NPI | 1346447448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED FITZGERALD Executive Director 910-891-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC MHL-063-070) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC MHL-063-070) |
| 1041C0700X Social Worker Clinical (Licence: NC C004985) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |