| NPI | 1578985925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ROBERTS Director 252-508-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2014-01-18 |