| NPI | 1306285101 |
|---|---|
| Doing Business As | VANCE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | ERIC DALTON MORSE Program Sponsor, Medical Director 919-676-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-03-05 |