| NPI | 1740411958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLINDA KAY RODRIQUEZ Administrative Director 919-359-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 989) |
| Additional Taxonomies | 251S00000X |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2010-01241) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2012-03-28 |