| NPI | 1679828214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R SNIDER Executive Director 980-321-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC MHL-060-1244) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC MHL-060-1244) |
| 251S00000X (Licence: NC MHL-060-1244) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-060-1244) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2014-12-31 |