| NPI | 1942779616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI Y HERRING Clinical Director 910-640-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 171000000X Military Health Care Provider | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 253J00000X Foster Care Agency | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM2800X Clinic/Center Methadone | |
| 261QR0800X Clinic/Center Recovery Care | |
| 261QR1300X Clinic/Center Rural Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2018-11-24 |