| NPI | 1093038994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY HILL Administrator 919-403-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC FCL-032-087) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-08 |