| 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 |
| 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 |