NPI | 1073627790 |
---|---|
Entity Type | Organization |
Authorized Contact | TED FITZGERALD Executive Director 910-891-7062 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC mhl-077-045) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-077-045) |
251B00000X Case Management (Licence: NC MHL-077-045) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2009-01-21 |