| NPI | 1376733352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE WAYNE HAZEL Director 919-272-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 596) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 596) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |