| NPI | 1861874794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGENIA MAE HUBBARD Owner/Operator 919-247-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C009113) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-08-19 |