| NPI | 1972067759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA WEATHERLY Executive Director 910-523-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2023-01-23 |