| NPI | 1609182575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LOCKLEAR Finance Director 910-865-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2024-05-29 |