| NPI | 1093077315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH PROCTOR COO 919-435-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 251s00000x) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |