| NPI | 1275148462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MARTIN NOYES Special Project Coordinator 919-223-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |