| NPI | 1366004848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK BURDEN Member/Owner 252-717-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-08-31 |