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Organization
NIA CHILDREN AND FAMILY SERVICES
Active
Organization
NIA CHILDREN AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA TOWNSEND LCSW (OWNER/CLINICAL PROGRAM DIRECTOR)
(252) 291-5585
Entity
Organization
Contact information
Practice address
504 GREEN ST E, WILSON, NC 27893-4176
(252) 291-5585
(252) 291-1377
Mailing address
504 GREEN ST E, WILSON, NC 27893-4176
(252) 291-5585
(252) 291-1377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
C004462
NC
251S00000X
Community/Behavioral Health Agency
—
NC
Other
Enumeration date
11/01/2006
Last updated
11/12/2010
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