| NPI | 1740537489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA BOYLAN Executive Director 919-934-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2022-03-22 |