| NPI | 1548633555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY HAMM CEO 919-656-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2016-09-09 |