| NPI | 1326794652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY DIANE GRAY Owner/Service Provider 919-599-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-01-17 |