| NPI | 1396945309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY WORTHINGTON Quality Services Director 919-833-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL092635) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |