| NPI | 1699691881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J SMALL Member Manger 252-820-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-24 |