| NPI | 1144357484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY WORTHINGTON Quality Services Director 919-833-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |