NPI | 1891226015 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTISHAWN GORE President 919-824-7789 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 10017) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2017-03-21 |