| NPI | 1881102408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE GRAY Executive Director 919-454-1672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2025-05-23 |