| NPI | 1558984476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES REBECCA HALL Executive Director 980-349-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |