NPI | 1568018166 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMIE WRIGHT President 910-670-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 253J00000X Foster Care Agency |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
261QR0800X Clinic/Center, Recovery Care | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
332U00000X Home Delivered Meals | |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2019-08-11 |
Last Update Date | 2024-03-08 |