| NPI | 1902124191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLESHA MCKOY Executive Director 910-879-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NC 127550) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2013-04-30 |