| NPI | 1629397757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM S MCCOWN Office Manager 919-966-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 3450) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |