The Hiawatha Center, Inc.

NPI #1407406713 in Rocky Mount, North Carolina

Provider Information

NPI Number: 1407406713
Entity Type: Organization
Organization Name: The Hiawatha Center, Inc.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 819 W RALEIGH BLVD
City: Rocky Mount
State: North Carolina
ZIP Code: 27803-2764
Phone: (919) 345-0261

Authorized Official

Name: DARIUS SMITH
Title: PRESIDENT
Phone: (919) 345-0261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Community/Behavioral Health	251S00000X	Primary

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