| NPI | 1821451832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH M JANSSEN Member 919-698-7364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C003879) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |