| NPI | 1447897962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMEKIO RIGGINS Director 910-740-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2025-06-04 |