| NPI | 1134416837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HINES COO 252-520-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-02-24 |