| NPI | 1447405543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LEVINE Member 919-225-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 251S00000X) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2018-06-21 |