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 |