| NPI | 1205169869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELTON DEVOSE Executive Clinical Director 919-381-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1111558) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |