| 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 |