NPI | 1386171767 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA MORRIS CEO/Program Sponsor 910-782-8752 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NC MHL-065-258) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: NC MHL-065-258) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2022-07-21 |