Organization
EUNOIA BEHAVIOR HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILKIAM WILSON LCAS-A (THERAPIST)
(252) 312-0516
Entity
Organization
Contact information
Practice address
1290 HALSTEAD BLVD, ELIZABETH CITY, NC 27909-5840
(252) 312-0516
Mailing address
PO BOX 1614, ELIZABETH CITY, NC 27906-1614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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