| NPI | 1396161410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BROOKS-BLUE Ower/Clinical Director 919-490-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6791) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |