| NPI | 1679807051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANICE MARIE YOUNG Owner 919-395-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 112596) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |