| NPI | 1972998995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LASSITER Director 919-384-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-05-06 |