| NPI | 1215261516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLEWELLYN HICKS Director 919-475-6124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8109498) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |