| NPI | 1306974068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MICHAEL HENNIKE Section Chief Of Dmh Dd Sas State O 919-855-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |