| NPI | 1962687053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ANNAS Director 919-942-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1105) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2011-03-10 |