| NPI | 1427612894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL SULLIVAN CEO 919-276-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2024-06-11 |