| NPI | 1649574450 |
|---|---|
| Other Name | ROANOKE RAPIDS NORTH |
| Entity Type | Organization |
| Authorized Contact | TRACEY PRIDGEN CFO 919-734-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-042-059) |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2023-09-29 |