| NPI | 1932300019 |
|---|---|
| Former Legal Business Name | SOUTHLIGHT, INC. |
| Entity Type | Organization |
| Authorized Contact | ADAM HARTZELL CEO 919-787-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-12-13 |