| NPI | 1114299187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY HODGE Day Treatment Therapist 919-245-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P005751) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |