| NPI | 1184843757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MARTIN WOODALL Owner 919-938-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3041) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2014-05-20 |