| NPI | 1447504782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WARD Executive Director 919-523-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |