| NPI | 1912220641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJA MCLEOD Chief Compliance Officer 919-774-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL053059) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2011-01-26 |