| NPI | 1982325734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. KRIS F WILLIAMS-FALCON Owner 910-248-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |