| NPI | 1245461029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE BURNS ALLEN CEO 347-581-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8989230) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |