| NPI | 1063756435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA R PANNESE Executive Director 919-818-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2012-11-25 |
| Last Update Date | 2015-08-19 |