| NPI | 1457885857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANA LEWIS Agency Director 252-443-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL0640154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-06-26 |