| NPI | 1225335623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTEIA RENEA COBB Executive Director 919-824-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1247) |
| 101YM0800X Counselor, Mental Health (Licence: NC 1247) | |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2013-08-05 |