| NPI | 1649443953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI R SHORE Executive Director 919-743-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-051-162) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-08-26 |