| NPI | 1902136021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELIA YEVETTE VIRGIN President 919-841-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C005273) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC C005273) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |