NPI | 1013975812 |
---|---|
Doing Business As | SOUTHEASTERN RECOVERY ALTERNATIVES |
Entity Type | Organization |
Authorized Contact | C. THOMAS JOHNSON V. P. Finance 910-671-5090 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC H0064) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC H0064) |
1041C0700X Social Worker, Clinical (Licence: NC H0064) | |
207L00000X Anesthesiology (Licence: NC H0064) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC HOO64) | |
363A00000X Physician Assistant (Licence: NC H0064) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2016-02-24 |