| NPI | 1558022038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA NORMAN Own/Conselor 252-394-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-09-27 |