NPI | 1023590585 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE KNOX Clinical Director 910-228-4798 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2018-08-31 |
Last Update Date | 2018-08-31 |