| NPI | 1811437072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY S HARGROVE Psychotherapist 252-425-9948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009680) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC C009680) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC C009680) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC C009680) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC C009680) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-30 |