| NPI | 1053851865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT TROUT Owner, Clinical Supervisor 910-483-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-026-962) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL-026-962) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |