| NPI | 1821469206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKIA BLACKMON Manager 252-327-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |