| NPI | 1588782692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY L HINES CEO Clinical Director 252-636-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 716) |
| 101YP2500X Counselor, Professional (Licence: NC 5307) | |
| 101YP2500X Counselor, Professional (Licence: NC 3874) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C004230) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-07-09 |