| NPI | 1770619744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY SCHMIDT Billing Officer 252-633-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-10-01 |