| NPI | 1588371264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCALES Owner 252-226-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225XM0800X Occupational Therapist, Mental Health | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-12-21 |