| NPI | 1255521159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SURGEON President 910-878-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |