| NPI | 1558804294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN JONES CEO/Director 910-286-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: NC 10707) | |
| 1041C0700X Social Worker Clinical | |
| 1223G0001X Dentist General Practice | |
| 251S00000X Community/Behavioral Health | |
| 363AM0700X Physician Assistant Medical | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2022-09-07 |