| NPI | 1497838254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON TEAGUE Director 910-739-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |