| NPI | 1033557665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY ANDOLFI Owner 910-458-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-05-06 |