| NPI | 1205375813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM WADFORD Director 919-861-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |