| NPI | 1508196809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IVEY President 919-201-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1212) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |