NPI | 1912346180 |
---|---|
Doing Business As | VANCE RECOVERY |
Entity Type | Organization |
Authorized Contact | ERIC D MORSE Program Sponsor/Medical Director 919-676-9699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2013-06-20 |
Last Update Date | 2022-08-29 |