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Organization
THE HIAWATHA CENTER, INC.
Active
Organization
THE HIAWATHA CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIUS SMITH (PRESIDENT)
(919) 345-0261
Entity
Organization
Contact information
Practice address
819 W RALEIGH BLVD, ROCKY MOUNT, NC 27803-2764
(919) 345-0261
Mailing address
819 W RALEIGH BLVD, ROCKY MOUNT, NC 27803-2764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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