| NPI | 1093712754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESAU ARNOLD MCMORRIS President 252-208-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 101YA00000X) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NC 8700395) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |