| NPI | 1639670169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAAS DOORN Director Of Recovery Services 919-606-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |