| NPI | 1295855690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ELLIOTT Executive Director 910-875-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 4122) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-01-03 |