| NPI | 1053044545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJI LATIFA MITCHINER Executive Director 919-771-5522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-07-02 |
| Last Update Date | 2022-07-02 |