| NPI | 1063769404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE BENSON Executive Administrator 919-423-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |