| NPI | 1184880734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EUGENE LEE Executive Director 251-473-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |