| NPI | 1609182575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LOCKLEAR CFO 910-865-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2025-07-21 |