| NPI | 1073042768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA FORDHAM RICHEY Owner/Manager 919-641-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |