| NPI | 1003793118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEYJO LEE Owner 919-576-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |