| NPI | 1902129190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK D SURGEON Owner 910-733-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7240) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-04-21 |