| NPI | 1053622266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANAH DAA'IYAH MUHAMMAD Program Director 919-672-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 24882) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |