| NPI | 1528594041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY MELISSA HAMM CEO 919-656-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-064-089) |
| Additional Taxonomies | 251S00000X |
| 261QM2800X Clinic/Center, Methadone Clinic (Licence: NC MHL-064-089) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2023-10-30 |