| NPI | 1336647221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLEME O HARRISON CEO 919-423-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |