| NPI | 1720131220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAKI NICASTRO Dir Of Credentialing 919-942-2803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-02-14 |