| NPI | 1972628709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TERESA ADAMS MANGUM Clinical Director 919-682-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |