| NPI | 1407913742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MRDJENOVIC President 252-247-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-016-034) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC MHL-016-034) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-016-034) | |
| 101YP2500X Counselor, Professional (Licence: NC MHL-016-034) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-10-02 |