| NPI | 1861979270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA P CULPEPPER Principal Counselor 252-493-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 12049) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 12049) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 12049) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC 21446) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |