NPI | 1356069264 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLITA RANDALL Executive Director 980-276-5142 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YS0200X Counselor, School | |
251B00000X Case Management | |
253Z00000X In Home Supportive Care | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
343900000X Non-emergency Medical Transport (VAN) | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-08-16 |
Last Update Date | 2023-01-05 |