| 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 |