| NPI | 1770188047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAN ADAMS Operations 252-258-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2022-04-25 |