| NPI | 1982800934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNOLDS C CLODFELTER CEO 919-787-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL092461) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-11-04 |