| NPI | 1194372029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL M NOYES Special Project Coordinator 919-285-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |