| NPI | 1609064948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON E TABE President 919-735-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 200101288) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2009-01-30 |