| NPI | 1174642011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B BASS President 919-638-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-032-365) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-04-11 |