| NPI | 1154551075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE SMITH ANDRUS President/Owner 919-895-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P003527) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |