| NPI | 1831437763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLINE JACKSON Director/Chief Therapist 919-677-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 71590) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |