| NPI | 1942744792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CALDWELL CEO/Owner 910-489-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X (Licence: NC C010223) | |
| 251S00000X (Licence: NC LCASA-21289) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-07-11 |