| NPI | 1083845648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIETTE POINTER Owner 919-824-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-032-492) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-09-08 |