| NPI | 1366150906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS REGINA MITCHELL Substance Abuse Counselor 919-348-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-01-17 |