| NPI | 1740951581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LAWSON CEO 252-643-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-10-21 |