| NPI | 1871778266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE ANN RENZ Director 919-966-9803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK MHL-068-107) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-06-30 |