NPI | 1568509073 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA W. HOPKINS Director, CEO 252-321-1621 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2009-12-08 |