| NPI | 1063817088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MITCHELL CEO 919-561-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1826) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |