| NPI | 1841519196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY PRIDGEN CFO 919-734-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC MHL-054-018) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2024-09-30 |