NPI | 1952531188 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS ROMAN COO 910-770-2682 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2011-09-23 |