NPI | 1124537394 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC DALTON MORSE CEO 919-673-9681 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2017-09-20 |
Last Update Date | 2022-08-29 |