| NPI | 1992929731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENITRA D CORBY-SHIELDS Administrative Director 919-636-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-12-26 |