| NPI | 1407617434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE JORDAN-BARNES Administrator/Owner 252-285-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-19 |