| NPI | 1962650887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE C FORREST Director Of Clinical Services 919-875-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |