| NPI | 1972746683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL PARKER Biller 910-322-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-10-08 |