| NPI | 1669789350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARSHEEM CHAPMAN CEO 910-483-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |