| NPI | 1902239130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY H. BROOKS Director 919-251-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3410049) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |