| NPI | 1275637852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F FRYE General Manager 910-486-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL026005) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |