| NPI | 1689946840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SOPHIA NEWTON Owner 910-817-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC MHL-077-070) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-077-070) | |
| 101YM0800X Counselor, Mental Health (Licence: NC MHL-077-070) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: NC MHL-077-070) | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-077-070) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL-077-070) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-077-070) | |
| 261QR0800X Clinic/Center, Recovery Care (Licence: NC MHL-077-070) | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2023-06-29 |