| NPI | 1508690199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DINGLE Owner/ Operator 919-432-9558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X | |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-10-02 |