NPI | 1255639720 |
---|---|
Entity Type | Organization |
Authorized Contact | ZOYA GORNOPOLSKY Owner 252-331-2174 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC mhl-070-057) |
Enumeration Date | 2011-03-08 |
Last Update Date | 2011-07-25 |