| NPI | 1558786046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD ROBINSON Mst Program Supervisor 919-865-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C008723) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |