| NPI | 1821238494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LAMONT SPELLER President/Program Director 252-347-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NC MHL-054-140) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2011-09-27 |