# NIA CHILDREN AND FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295812980
- **Authorized official:** PATRICIA TOWNSEND LCSW (OWNER/CLINICAL PROGRAM DIRECTOR)
- **Authorized official phone:** (252) 291-5585

## Contact information

- **Practice address:** 504 GREEN ST E, WILSON, NC 27893-4176
- **Practice address phone:** (252) 291-5585
- **Practice address fax:** (252) 291-1377
- **Mailing address:** 504 GREEN ST E, WILSON, NC 27893-4176
- **Mailing address phone:** (252) 291-5585
- **Mailing address fax:** (252) 291-1377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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