| NPI | 1891135810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE HELEN FROSCH Intensive In Home Team Lead 919-368-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8895) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-08 |