| NPI | 1962804690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A KELLER Executive Director 919-942-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-068-093) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |