NPI | 1568524031 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD P EDWARDS Contract Administrator 919-783-8898 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-12-14 |
Last Update Date | 2015-11-20 |