| NPI | 1538848080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY FAYE BLOUNT AO/CEO 252-217-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |