| NPI | 1255518510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDRUM S TUCKER President 919-967-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 40369) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |