| NPI | 1831134477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE FAYE BORDEAUX Clinical Director 252-353-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC C001908) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-04-29 |