| NPI | 1538438676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE GUADALUPE CARREON Counselor 252-727-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC MHL-016-029) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |