| NPI | 1730007899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRUS LOCKLEAR Chief Of Operations 910-734-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |