| NPI | 1962715631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PURNELL Clinical Director 919-454-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 5551) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2016-09-14 |