| NPI | 1629393483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE SMITH North Carolina State Diretor 901-216-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |