| NPI | 1073944195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE MODILIM Administration 919-662-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-092-878) |
| Enumeration Date | 2013-11-30 |
| Last Update Date | 2013-11-30 |