| NPI | 1255475828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK LEON DUNSTON Co Owner 919-602-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-032-343) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-06-09 |