| NPI | 1669774824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PRUDEN EDWARDS CEO 252-535-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC COOO553) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 483) |
| 101YP2500X Counselor, Professional (Licence: NC 4018) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C006274) | |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2010-11-21 |