NPI | 1063554095 |
---|---|
Doing Business As | THE VILLAGE |
Entity Type | Organization |
Authorized Contact | TIM HALL VP/Chief Of Behavorial Health Svcs 910-521-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL-074-117) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-074-117) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2018-12-14 |