| NPI | 1821169277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON TEAGUE Director 910-739-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |