| NPI | 1194737700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DEAN STRONG Program Manager 919-878-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1449) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |