| NPI | 1922484369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HARELSON Owner 919-260-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 5466) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2015-08-08 |