| NPI | 1720384423 |
|---|---|
| Doing Business As | ROXIE AVENUE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NAGOWSKI CEO 910-615-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: NC MHL026914) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: NC MHL026914) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |