| NPI | 1043606064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D MORSE Program Sponsor 919-673-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-019-065) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |