NPI | 1629361456 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY PITTMAN President 910-488-9959 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 1665) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2011-09-20 |