NPI | 1932998382 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVANTE MULLEN President 919-706-9474 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-07-25 |