| NPI | 1962168815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DANIEL TERRY CEO 910-331-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2022-02-25 |