| NPI | 1497823686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT SEWELL President 919-782-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: NC 3409338) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 3409338) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |