| NPI | 1760420186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RUTSKI Director Of Business Operations 910-452-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL-067-186) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-08-19 |