| NPI | 1356471452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA TERESA WILLIAMS Director 252-758-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC MHL074155) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC MHL074155) |
| 101YP2500X Counselor Professional (Licence: NC MHL074155) | |
| 1041C0700X Social Worker Clinical (Licence: NC MHL074155) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-03-16 |