| NPI | 1891087516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ANNE LANZA Clinical Director 919-924-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6595) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |