| NPI | 1770910762 |
|---|---|
| Doing Business As | CLINICALADDICTIONPROFESSIONALSERVICES |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A LONEY Owner/Director 919-680-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2021-11-19 |