| NPI | 1487805321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON VICKERS Director 919-724-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| 251S00000X | |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2014-05-12 |