| NPI | 1831649995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLISS MANAY GUNTER Nc Unit Director 919-755-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-092-940) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC MHL 092 940) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |