| NPI | 1831458975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEEMIA HURST SHAW CEO 919-931-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC c007496) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |