| NPI | 1619648490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LAWSON Chief Executive Officer 252-327-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |