| NPI | 1235684663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER M WEST Director 919-395-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6507) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |