| NPI | 1528111200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA TAYLOR BALDWIN Director 919-778-7595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-096-165) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |