| NPI | 1275847576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD E JONES Member Mgr/ Owner 919-256-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC MHL-085-035) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-09-02 |