| NPI | 1427736404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI WARD Credentialing Specialist 910-234-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2026-06-09 |