| NPI | 1407416241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LAVOICE BANNERMAN-SMITH Clinical Director 910-284-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-01-27 |