| NPI | 1912952672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEE M BAILEY Owner 252-946-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-05-09 |