| NPI | 1386677482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANTOINE SCOTT Clinical Director 919-449-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C004666) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-04-29 |