NPI | 1548701584 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDRICK BRITTON Executive Director 252-717-4074 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
Enumeration Date | 2017-03-09 |
Last Update Date | 2022-07-14 |