| NPI | 1306973086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JACOBS MANNING Substance Abuse Counselor Ii 910-254-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC 1148) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |