| NPI | 1457745697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DENISE LANE Substance Abuse 919-274-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-A) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |