| NPI | 1487796116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON DOUGLAS PARKER Acting Executive Director 919-933-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-073-031) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-17 |