| NPI | 1225565773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS LOPEZ CEO/Owner 919-415-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |