| NPI | 1568658516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA JOHNSON Executive Director 252-335-9400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200001510) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-070-051) | |
| 251B00000X Case Management | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2011-02-24 |