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 |