| NPI | 1376728832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F CAMPBELL President And CEO 336-478-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 1041) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1874) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 201930) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NC 201930) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2014-04-30 |