| NPI | 1386909877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S. BOCK Owner/Provider 919-585-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005405) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 18) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |