| NPI | 1861684573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA M ROYSTER President 919-832-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC 6106561) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 6111896) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-01-17 |