| NPI | 1295167450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE VANN Owner 919-398-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c008394) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2658) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |