| NPI | 1740999036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NA DANIELS Director 919-300-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-17 |