| NPI | 1710276282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD K GRANTHAM Director Of Operations 919-255-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |