| NPI | 1679882393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON AMABLE FERNANDEZ Owner 919-877-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2017-12-12 |