| NPI | 1295168045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATISHA MAE HAMILTON CEO 919-303-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1619153954) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |