| NPI | 1578612370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BARNETT Qualified Professional 252-758-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 074-175) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 074-175) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-02-17 |