| NPI | 1992170377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARASHEEM CHAPMAN Board Chairman 910-339-4987 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171000000X Military Health Care Provider | |
| 261QP2300X Clinic/Center Primary Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2022-09-21 |