| NPI | 1174857015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY HOLLIS Owner 919-793-5914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7949919) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |