| NPI | 1003305905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L DINGLE Partner 910-370-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8784) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 16109) |
| 1041C0700X Social Worker, Clinical (Licence: NC C008338) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |