| NPI | 1811442353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOYD E. WILSON Psychotherapist/Addictions Counselo 919-801-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010222) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20049) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |