| NPI | 1205365574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAMONT GUNN Regional Director 919-629-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC 092918) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |