NPI | 1841540085 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES J LACAVERA Partner 252-327-1014 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5318S) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1021) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2012-09-14 |