| NPI | 1881095784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S WHITE President 980-400-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2025-09-23 |