| NPI | 1902242183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BURNIS BASS Executive Director 919-638-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |