| NPI | 1922153063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L MIGLIOSI Substance Abuse Counselor 910-343-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |