| NPI | 1861722639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA THOMAS Program Director 251-661-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 235Z00000X Speech-Language Pathologist, | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |