| 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 |