| NPI | 1184362303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYISHANKA MCMILLIAN CEO/Founder 919-724-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |