| NPI | 1467075432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WATSON ADAMS Owner 919-631-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |