| NPI | 1518299791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHENA M JACKSON Chief Executive Officer 919-682-4771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-032-506) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2012-08-29 |