| NPI | 1508653213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON MARTIN Executive Officer Of Operations 919-790-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-30 |