| NPI | 1447337290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B. RIDDLE President 919-942-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |