| NPI | 1992250682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAY MONIQUE PRICE CEO 910-574-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-02-26 |