| NPI | 1871261297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE OWENS MONROE CEO 910-583-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |