| NPI | 1699057653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEVEN HEYMEN Owner/Manager 919-548-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |