| NPI | 1548511595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAN LE BONNO LEBOZEC President 980-229-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3547) |
| Enumeration Date | 2012-09-29 |
| Last Update Date | 2012-09-29 |