| NPI | 1033545280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVE KAYANDA CEO 3365-002-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL0411058) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |