| NPI | 1750763942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAMONT GUNN Program Director 910-347-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NC MHL067166) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |