| NPI | 1720448665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYWOOD DUNCAN COO 704-207-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL-062-039) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |