| NPI | 1972422509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA N CAMPBELL CEO 980-230-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2026-07-15 |
| Last Update Date | 2026-07-15 |