| NPI | 1497422703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORI THOMPSON General Manager 919-410-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-12-11 |