| NPI | 1528138278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LYNN WENZEL President 919-782-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6005366) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 8300341B) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-10-07 |