| NPI | 1376301119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MOORE President 252-695-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-05-10 |