| NPI | 1073079505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE COURTNEY JONES Sole Member 919-548-7125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |