| NPI | 1669666293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY KING Administrator 919-563-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC mhl001082) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |