| NPI | 1184761660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M WISE CEO 919-989-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 051 128) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-09-11 |