| NPI | 1104968965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P MAGUIRE CFO 919-215-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL092645) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-05-14 |