| NPI | 1568691921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHENA M JACKSON Chief Executive Officer 919-682-4771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |