| NPI | 1538648944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY HAMM CEO 919-656-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2023-10-30 |