| NPI | 1427317619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATWANA OLIVER Family Support Specialist 919-345-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P006264) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |