| 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 |