| NPI | 1811353451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA V HINTON Owner 919-286-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8759) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2655-A) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |