| NPI | 1598891400 |
|---|---|
| Doing Business As | IREDELL PSR |
| Entity Type | Organization |
| Authorized Contact | KEVIN L COCHRAN Financial Assistant 919-981-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-049-065) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |