| NPI | 1164640280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELTON WADE DE VOSE Executive Clinical Director 919-818-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |