NPI | 1548702301 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCIOUS WAYNE DAYE Owner, CEO 919-358-3541 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 9840) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2020-10-14 |