| NPI | 1902192834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE JOHNSON CEO / Program Director 919-889-3967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |