| NPI | 1811725161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOWNING President 252-217-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-08-02 |