| NPI | 1982992897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE BAKER Board Of Directors 919-809-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 372) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-09-15 |