| NPI | 1912466608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A NEDOCK Sole Mbr 252-764-1154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2023-03-31 |