NPI | 1518190560 |
---|---|
Entity Type | Organization |
Authorized Contact | WASHINGTON DENNIS WHITE Owner 910-483-1075 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3809) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 98) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2009-08-25 |