NPI | 1942915509 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZAN TEAGUE Owner 910-631-1036 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-01-18 |
Last Update Date | 2023-05-02 |