| 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 |