| NPI | 1053658252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON ALEXANDER VICKERS Executive Director 919-724-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |