| 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 |