| NPI | 1811479017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY D CONSTANTINO Owner 919-624-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C007542) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-08-19 |