| NPI | 1770144420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA JEAN BURGE CEO 919-529-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 251C00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-07-09 |