| NPI | 1770998122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN MAYO Director 919-790-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 092-861) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |