| NPI | 1851461552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY ANDERSON CEO President 910-739-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-04-29 |