| NPI | 1801917968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HEMINGWAY HALLOCK Executive Director 910-222-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 026-821) |
| Additional Taxonomies | 251S00000X (Licence: NC MHL-026-821) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-10-26 |