| NPI | 1174077853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA L SHIELDS Owner 919-903-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2603) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-11-17 |