| NPI | 1376972448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SWIGUNSKI Area Director 919-790-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A10110) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: NC A10110) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |