| NPI | 1083849400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELL RAHMAAN Administrator 910-864-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL026777) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2013-08-13 |