| NPI | 1689071813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D MORSE Owner 919-673-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NC 99-01445) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2020-12-17 |