| NPI | 1922304377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA EVA MOORE Director 919-844-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2013-07-23 |