| NPI | 1164788337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL D HALLIDAY Sole Mbr 919-471-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-032-572) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |