| NPI | 1548906506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DENISE LASSITER Director 919-384-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-06-22 |