| NPI | 1871090167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'NEIKA BENBOW Owner & Clinical Director 252-493-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C007676) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 10548) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |