| NPI | 1942454731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDREA MONTGOMERY CEO 919-602-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C200830800141) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |