| NPI | 1457492266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRELYN WADDELL Billing Specialist Supervisor 919-323-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-08-10 |