| NPI | 1699075077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A DAVIS President 252-435-3249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2011-06-03 |