| NPI | 1801036066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE GRACE NIBLOCK Manager 919-237-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 714) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |