| NPI | 1770227589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LAMONT HADDOCK CEO 252-227-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-06-06 |