| NPI | 1164872750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DALTON MORSE Program Sponsor 919-673-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL-092-938) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-08-29 |