| NPI | 1700429396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELLE RENEE HOPKINS Clinical Director 919-646-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-02-20 |