| NPI | 1407025836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANDEE J LEWIS Director 251-472-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |