| NPI | 1679629091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VERGOLIAS Clinical Director 919-847-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C004802) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-02-27 |