| NPI | 1659401453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENSIE D LUCAS Assistant Area Director 910-323-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-01-16 |