| NPI | 1659660165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY L HARBOLD Executive Director 919-467-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: applied for) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |