| NPI | 1588154637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD THOMAS Quality Management Director 919-423-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |