| NPI | 1558622969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ROSE Executive Director 910-779-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |