| NPI | 1497406128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVETTE N COLE CEO 910-758-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |