| NPI | 1306143383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIJUANA CROSBY President 919-308-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 2119) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |