| NPI | 1912449158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERVIN DAVIS Team Lead Ii H 919-685-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P010729) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |