| NPI | 1598903072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LOCKLEAR CFO 910-865-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2021-04-28 |