| NPI | 1518279892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD E JONES Member Manager 919-256-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC MHL-092-779) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-26 |