| NPI | 1649686221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AUBREY HENRY Lpca 919-949-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC A10571) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |