| NPI | 1932523032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLO R WATSON Substance Abuse Counselor 919-889-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2969) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |