| NPI | 1104069905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHENA M JACKSON Executive Director 919-682-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |