NPI | 1700194404 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY MARTIN WOODALL Owner 919-938-0921 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 632) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2010-09-16 |