| NPI | 1124172499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D.A. VAUGHN President 910-323-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 50018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC MHL-026-176) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |