| NPI | 1790706059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN SCHEEL Director, Treasurer, Secretary 252-733-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 890) |
| 1041C0700X Social Worker, Clinical (Licence: NH 720) | |
| 1041C0700X Social Worker, Clinical (Licence: NH 1122) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 068326-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 015394-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 057948-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 045324-23) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2023-03-23 |