| NPI | 1215589817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANA RICHMOND Clinical Director 919-342-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |