| NPI | 1801662002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALLEN DUNKELBERG Owner 919-760-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-12-11 |