| NPI | 1861587867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY KING Program Director 919-731-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-05-17 |