| NPI | 1356779474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY SUSAN DRAKE Owner 919-818-1459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C000724) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |