| NPI | 1609956630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M WISE CEO 919-989-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC MHL 051-128) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC MHL 051-128) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: NC MHL 051-128) | |
| 251B00000X Case Management (Licence: NC MHL 051-128) | |
| 251E00000X Home Health (Licence: NC MHL 051-128) | |
| 251K00000X Public Health or Welfare (Licence: NC MHL 051-128) | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL 051-128) | |
| 261QM1300X Clinic/Center Multi-Specialty (Licence: NC MHL 051-128) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-05-20 |