| NPI | 1225318587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILDA DENORA WHITAKER Executive Director 252-972-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-033-103) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |