| NPI | 1326371881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON BRADSHAW Director 919-702-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |