| NPI | 1376799346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED FITZGERALD Executive Director 910-891-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-068-136) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |