NPI | 1922577022 |
---|---|
Doing Business As | THE KELLY CODE |
Entity Type | Organization |
Authorized Contact | KIM J KELLY Owner 252-412-1963 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |