| NPI | 1679893994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ANTHONY THOMPSON Counselor 910-599-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 193) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |