| NPI | 1679662084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA W. JEFFERS Outpatient Manager 919-870-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C004243) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-06-16 |