| NPI | 1952896813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY MELISSA HAMM CEO 919-656-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-053-044) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NC MHL-053-044) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-08-23 |