| NPI | 1609473230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H CHADWICK Owner/Managing Member 336-703-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |