| NPI | 1174911804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ANN COMPTON Owner/Director 919-641-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A10688) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |