| NPI | 1912133802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA MARIE WOOD Owner/President 919-810-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6850) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-09-22 |