| NPI | 1316125628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALRIE PARKS VP Program Development And Training 980-229-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |