| NPI | 1649317637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDI BENNETT Finance Manager 252-537-6799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-04-29 |