| NPI | 1942684147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY COVINGTON President 910-964-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-07-21 |