| NPI | 1578911319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DALTON MORSE Program Sponsor 919-673-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NC MHL-092-938) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-03-05 |