| NPI | 1841327525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEE HODGE Owner Administrator 919-231-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC FCI092085) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-15 |