| NPI | 1700425501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE BATTS SHIVER Clinical Director 252-215-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |