| NPI | 1659859205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL HALLIDAY Executive Director 919-961-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-04 |