NPI | 1659096931 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN J. SHORT President 910-992-7525 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261Q00000X Clinic/Center | |
Enumeration Date | 2022-10-10 |
Last Update Date | 2022-10-10 |