| NPI | 1679702005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CRISP Manager 919-237-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6006637) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |