| NPI | 1972053981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE COZART Executive Director 910-682-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 225800000X Recreation Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |