| NPI | 1861766594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIA MCLEAN CEO 910-739-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1277) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |