| NPI | 1497078232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENISE JONES CEO 919-931-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 07193048) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2012-05-04 |