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 |