NPI | 1689000689 |
---|---|
Entity Type | Organization |
Authorized Contact | BARSHEEM CHAPMAN CEO 910-483-0324 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
103T00000X Psychologist | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TP0016X Psychologist, Prescribing (Medical) | |
1041C0700X Social Worker, Clinical | |
1041S0200X Social Worker, School | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2013-09-23 |
Last Update Date | 2013-09-23 |