| NPI | 1568231348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAONZVEE CRAWFORD President 252-352-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-22 |