| NPI | 1336391184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON WAYNE RAY President 910-343-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC mhl065180) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2009-05-26 |